93-378 wL .'
43 .f
CERTIFICATE OD COMPLIANCE
TOWN OF QUEBPISBURY
WARREN COUNTY, NEW YORK
Date /,{r // 19 93
This is to certify that work requested to be done as shown by Permit No. 93-378V
has been completed.
This structure may be used as a septic system
Location Rnnkhnnrst Read
Owner Neil P. and June M. Haverlv
1.5-1-20 By Order of Town Board
TOWN OF QUEENSBURY
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Director of Building & Code Enforcement
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BUILDING PERMIT
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TOWN OF QUEENSBURY 93-378V
No 0
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to NEIL P. HAVERLY & JUNE M. HAVERLY
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OWNER of property located at Rockhurst Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Septic Alteration
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is
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32 Berkshire Drive West r'
Clifton Park NY 12065
2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
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Septic alteration to include 1000 gallon tank with 2 6 ' x8 '
No. seepage pits with #3 stone at 2 ft depth as per plot plan,
specifications and application and in accordance with
B. Proposed useSewage Disposal Variance # 25 , 93 granted 7/12/93 .
Septic system C
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25 . 00
$ PERMIT FEE PAID —THIS PERMIT EXPIRES July 13 19 95
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this l� Day of July 19 93
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SIGNED BY for the Town of Queensbury
Building and Zoning In or
A
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'1r � TOWN OF QUEENSBURY
— APPLICATION FOR SEPTIC DISPOSAL PE' I Permit # 9 ,;^
• 1 h' Fee Pai /4g;
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Date: ,9ae/3 q�3 Reviewey b.
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LOCATION OF PROPERTY FOR INSTALLATION: 1,;:7�</ ,P�-
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Owner's Name: / r y J/;a,va Titv
Owner's Mailing Address: 32 /.�i/ra/C Sw,��r Qom, /%'
Installer's Name: ��� �,�� ,-� Phone #:
Number of bedrooms -(if residential ): 3
//O (R C T[:.o i,i- iS p/=AKcai�)
Total daily flow (residential-compute @ YO' gal . per bedroom) : /�3D,7,W
Topography-Circle One: Flat Rolling Steep Slop ' - % of Slope
-TOzdi Sash e/47/U-A5
Soil Nature-Circle One: San Loam Clay Other /Depth: /a H
Ground Water-'At What Depth? 4Zr /oz.,,v-A, Feet
Bedrock or Impervious Material-At What Depth? A/o 7 /q440 Feet
Percolation Test-Circle One: Not Required Required/Rate/ 5 Min. Per Inch
Domestic Water Supply-Circle One: Municipal . Well Other
If domestic water supply is a well -
Separation: Water supply from any septic absorption feet
PROPOSED SYSTEM: Septic Tank /D G D gal . (Minimum size: 1,000 gal . )
Tile Field: Each Trench feet//Total System Length feet
Seepage Pit(s): Number of 2 / Size each: C ft. x R ft.
Size of Stone to be used: # 3 / Depth or Thickness ,3 feet (Sct,;/to/,/9,,15.( 2,,4 )
**************
HOLDING TANK SYSTEM IF REQUIRE
No. of Tanks Size of Each Gal .
Alarm system and associated electrical work to be inspected by a certified
agency.
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I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: �'//,('1 f'.21. DATE: 7-/..?- .93
Septic System Inspections:
A. All applications for septic system installation, alteration or repair,
as required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1) the proposed location of the system
2) location and distance to lot lines
3) location and distance to structures.
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution boxes, tile fields
and/or drywells
B. No system shall be covered before inspection and approval by the Building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $250.00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
F Town of Queensbury
Building & Code Enforcement
Department
531 Bay Road
Queensbury NY 12804
Remarks:
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RESOLUTION APPROVING A SANITARY SEWAGE DISPOSAL VARIANCE
FOR NEIL P. AND JUNE M. HAVERLY
RESOLUTION NO. 25, 93
INTRODUCED BY: Mr. Pliney Tucker
WHO MOVED ITS ADOPTION
SECONDED BY: Mrs. Betty Monahan
WHEREAS, Neil P. and June M. Ha.verly . previously filed a
request for two (2) variances from certain provisions of the Town
of Queensbury On—Site Sewage Disposal Ordinance, such provisions .
being more specifically that requiring that there be a 200 foot
separation between ' the seepage pits and the Lake George
shoreline, and a 10' separation between the seepage pits and the
property line, and
WHEREAS, a notice of public hearing was given in the
official newspaper of 'the Town of Queensbury and a public hearing
was held in connection with the variance requests on July 12,
1993, and
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WHEREAS, the Town Clerk advises that property owners within
500 feet of the subject property have been duly notified,
NOW, THEREFORE, BE IT
RESOLVED,
a) that due to the nature of the variances, it is felt
that the variations will not be .materially detrimental
to the purposes and objectives of this Ordinance or to
other adjoining properties or otherwise conflict with
the purpose and objectives of any plan or policy of the
Town of Queensbury ;
b) that the Local- Board of Health finds that the granting
of the variances is necessary for the reasonable use of
the land and that the variances are, granted as the
minimum variances which would alleviate the specific ,
unnecessary hardship found by the Local Board of Health
to affect the applicant ; and '
c) that the Local Board of Health imposes a condition upon
the applicants that they must, also secure the approval
of the New York State , Departme'nt of Health, and
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" • BE IT FURTHER, •
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• RESOLVED, that the 'Town. of Queensbury, Local ; Board of Health
grants the variances to Neil P. and June M. •Haverly, allowing the
. placement of the- seepage pits:
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1 ) 1007• from the Lakre George shoreline, rather than
placing them at the mandated 200' distance; •and
2) 4' and 6' respectively for each drywell from the •
property line addressing the roadway, rather than
placing them at the mandated 10' distance ; .
• on property situated on Rockhurst, the fourth house on the north
west 'side, Queensbury, -New York, and • bearing Tax Map #: Section
15, Block 1, Lot 20.
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Duly adopted this 12th day of July, 1993, by . the following
vote: '
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AYES: Mrs. Goetz, Mr. - Tucker, Mrs. Monahan, Mr: Brandt . °
NOES: None
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ABSENT: None
ABSTAIN: Mr. Caimano . •
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yar line Mann Mitchell,Deputy Town Clerk of the Town of Queensbury,Warren
,..,unty New York,do herebrcertify that 1 have compared the foregoing with the
original resolution as listed above adopted ate 174 0...% meeting
gfrof the T;gwn Board of the town of Queensbury held on I a day of
�/ 1993,at which a quorum was present and that the
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same is correct transcript"therefrom and of the whole orignal thereof to date. •
IN WITNESS THEREOF,I have hereto set my hand and the SEAL of said town
of Queensbu y this IF3g day of y�t, Q 1943
▪ yr
▪ _�_ SEAL), i _SI• G,5
4✓' �`•� ., ry- Town of u
/-5-^/ = TOWN OF QUEENSBURY
"t- ' BUILDING E CODE ENFORCEMENT i/ ,?
531 Bay Road
Queensbury NY 12804
518-745-4447
SEPTIC DISPOSAL SYSTEM INSPECTION
Name � o �/�4
Location _ 4 1'4 -G iee
Date /0/J2/9,_5 Permit # 9..:5-37,1/
SOIL TYPE: Sand-Loam-Clay-
Results of Percolation Test-
(if applicable) .Rate-Minute/Inch
TYPE OF SYSTEM:
ABSORPTION FIELD: Total Length
Length of each trench
Depth of trenches
Size of stone
SEEPAGE PITS: Number- 0., /
Size - $' ft. x 5r i /ft.
Stone size v, / /
PIPING: ;ySii ze Type
Bldg. to Tank 11---
Tank to Dist. Box
Dist. Box to Field/Pi t ' {{ s, .-3.-
Openings Sealed? Yeas 'i No Partial
LOCATION/SEPARATIONS/
Foundation to Tank AO feet
Foundation to Abso h ti on J�/o - feet
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Separation of Pit feet
Conforms as per Pi of Plan \ G No
LOCATION OF SYS / ON PROPERTY:
(circle one)
Front - Rear - Left Side - Right Side
Middle Front 7 Middle Rear
COMMENTS: / ,
.etit / 4'2 G
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YSTEM USE APPROVED: OSPNO
Arrived: //:cel,
Departed: :/o
Buildin nspector
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2" plastic ;fo'rc morn
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